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Challenges and Complications of Immobility

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Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase

Abstract

Prevention and treatment of the complications of immobility play an important role on the care of hospitalized patients with traumatic injuries. Effects of immobility involve several body functions and may lead to future morbidity, disability, and even mortality, with significant socioeconomic impact. In addition to the most evident complications, such as pressure ulcers, deformities, joint pain, loss of muscle and bone mass, deep vein thrombosis and pulmonary embolism, atelectasis and pneumonia, and also injuries to the cardiovascular, endocrine, immune, gastrointestinal, excretory, vestibular, cognitive, and psychological systems have been reported. Regarding traumatic brain injury patients, disorders resulting from prolonged bed rest periods are combined with injury-related morbidities and complications. Early mobilization strategies have proven to be a feasible and safe approach that may promote improved physical function, higher independence levels, and an accelerated process of the return to premorbidity condition and activities. Moreover, early rehabilitation has also been associated with the reduction of the length of hospital stay and costs.

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Authors and Affiliations

  1. Rehabilitation Department, Institute of Cancer of São Paulo, Clinics Hospital – School of Medicine – University of São Paulo, São Paulo, Brazil

    Christina May Moran de Brito

  2. Legal Medicine, Medical Ethics, Social and Occupational Medicine and Physical and Rehabilitation Medicine Institute, Clinics Hospital – School of Medicine – University of São Paulo, São Paulo, Brazil

    Linamara Rizzo Battistella

  3. Institute of Cancer of São Paulo – Rehabilitation Department, São Paulo, São Paulo, Brazil

    Maria Lúcia Costacurta Guarita

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  1. Christina May Moran de Brito
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Editors and Affiliations

  1. University of São Paulo, São Paulo, São Paulo, Brazil

    Renato Anghinah

  2. University of São Paulo, São Paulo, São Paulo, Brazil

    Wellingson Paiva

  3. University of São Paulo, São Paulo, São Paulo, Brazil

    Linamara Rizzo Battistella

  4. University of São Paulo, São Paulo, São Paulo, Brazil

    Robson Amorim

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de Brito, C.M.M., Battistella, L.R., Guarita, M.L.C. (2018). Challenges and Complications of Immobility. In: Anghinah, R., Paiva, W., Battistella, L., Amorim, R. (eds) Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase. Springer, Cham. https://doi.org/10.1007/978-3-319-95376-2_4

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  • DOI: https://doi.org/10.1007/978-3-319-95376-2_4

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